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REPORT OF A CASE

Marios C. Balodimos, M.D.; Hae Sok Kim, M.D.

JAMA. 1960;173(13):1476-1478.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A case of severe insulin reaction resulting in unconsciousness of 60 hours' duration was caused in a young diabetic woman by the erroneous administration of 1,800 units of insulin. Early recognition of the hypoglycemia and intensive treatment were responsible for the patient's complete recovery.

The patient, a 16-year-old, overweight girl, was brought to the emergency room on Jan. 3, 1956, after having been unconscious for the preceding three hours. This was her 14th hospital admission. She had been a known diabetic since 1948, taking about 100 units of insulin daily. Her previous admissions had been primarily for diabetic acidosis and coma, of which she had a total of 11 episodes in 1955 alone. The patient was dehydrated and restless and responded little to external stimuli. Her face was flushed, temperature was 100.0 F (37.7 C), and pulse rate was 120 per minute. She did not have Kussmaul's respiration. The urine . . . [Full Text PDF of this Article]

Author Affiliations
Jacksonville, Fla.

From St. Vincent's Hospital.

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